NPIMap

Organization Active NPI

Medstar Urgent Care,LLC

  • Urgent Care Clinic/Center
  • Pikesville, MD
National Provider Identifier
1962836080
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
03695723 Issued in MD
Legal business name
MEDSTAR URGENT CARE,LLC
Practice address
1419 Reisterstown Rd
Pikesville, MD 21208-3808
Phone
(410) 415-2100
Fax
(410) 415-2105
NPI assigned
Aug 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Deborah Kuchka-Craig
Title
Corporate Vice President
Phone
(410) 772-6827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 03695723 MD Primary

Addresses

Primary practice location

1419 Reisterstown Rd
Pikesville, MD 21208-3808

Mailing address

1419 Reisterstown Rd
Pikesville, MD 21208-3808
Phone (410) 415-2100

Other names 1

  • MEDSTAR PROMPTCARE Pikesville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medstar Urgent Care55 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1962836080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083808",
            "telephone_number": "410-415-2100",
            "fax_number": "410-415-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083808",
            "telephone_number": "410-415-2100",
            "fax_number": "410-415-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR URGENT CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "KUCHKA-CRAIG",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CORPORATE VICE PRESIDENT",
        "authorized_official_telephone_number": "410-772-6827",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": "03695723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDSTAR PROMPTCARE Pikesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.